148 results match your criteria Chondrodermatitis Nodularis Helicis
Indian Dermatol Online J 2018 Nov-Dec;9(6):438-440
Department of Surgical Sciences, Audiology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Chondrodermatitis nodularis helicis (CNH) is an idiopathic inflammatory painful condition of the ear characterized by a tender nodule located on the helix or antihelix. Even if various causes have been ascribed, such as a microvascular injury due to acute exposure to cold or trauma, pressure, or rubbing, etiopathogenesis still remains unknown. We describe the unusual case of a young female with a peculiar sequential onset of bilateral CNH in the antihelix region, possibly ascribed to the direct use of mobile phone without earphones. Read More
Dermatol Surg 2018 Nov;44(11):1475-1476
Dermatology Department, Vanderbilt University Medical Center, Nashville, Tennessee.
Arch Dermatol Res 2018 Jun 20. Epub 2018 Jun 20.
Department of Dermatology, Central University Hospital of Asturias, Avda. Roma s/n, 33011, Oviedo, Spain.
Chondrodermatitis nodularis helicis (CNH) is a benign auricular disease whose differentiation with nonpigmented tumors is mandatory. Clinical characteristics of CNH are well known, but there is no information about the dermoscopic features that could help differentiate CNH from squamous cell carcinoma and other non-melanoma skin cancers. To describe the dermoscopic appearance of CNH and to formulate a differential diagnostic model, we conducted a retrospective, single center, observational dermoscopic study on a sample of 189 biopsy-proven lesions: 25 CNH; 26 squamous cell carcinomas; 62 basal cell carcinomas and 76 other benign and malignant tumors. Read More
Cureus 2018 Mar 26;10(3):e2367. Epub 2018 Mar 26.
Dermatology, State University of New York.
Chondrodermatits nodularis chronica helicis (CNCH), first described by Max Winkler in 1915, presents as a sore nodule on the helix or antihelix of the external ear. In this paper, we review the etiopathogenesis and management options of CNCH. This condition has a multifactorial etiology; however, sustained pressure from sleeping on one side is the favored theory. Read More
Actas Dermosifiliogr 2018 Mar 26. Epub 2018 Mar 26.
Servicio de Dermatología, Hospital Universitario Marqués de Valdecilla, Santander, España.
Am J Dermatopathol 2018 Feb;40(2):139-141
Division of Dermatology, University of California Irvine, Irvine, CA.
Nodular fasciitis is a benign myofibroblastic tumor. Its uncommon variant, proliferative fasciitis (PF), can present in an even less common intradermal form. We report a case of intradermal PF of the ear in a 45-year-old man who presented with recurrent episodes of pain and swelling of the lesion. Read More
Indian Dermatol Online J 2017 Jan-Feb;8(1):48-49
Department of Dermatology, Katihar Medical College and Hospital, Katihar, Bihar, India.
J Am Acad Dermatol 2017 Jun 16;76(6):1103-1108. Epub 2017 Feb 16.
Unit of Dermatology, San Jorge Hospital, Huesca, Spain.
Background: Therapies used to treat chondrodermatitis nodularis helicis (CNH), such as surgical excision, pressure relief, or topical steroids report varying degrees of success.
Objective: We evaluated the response and safety of methyl aminolevulinate (MAL) photodynamic therapy (PDT) in CNH.
Methods: This retrospective, observational study performed at the University Hospital Ramon y Cajal (Madrid, Spain) and Hospital San Jorge (Huesca, Spain) included all patients diagnosed with CNH and treated with MAL-PDT from 2008 to 2015. Read More
Dermatol Ther 2017 Jan 9;30(1). Epub 2016 Oct 9.
Texas A&M Health Science Center College of Medicine, Temple, Texas, USA.
Chondrodermatitis nodularis helicis (CNH) is characterized by a tender nodule located on the helix or antihelix. Age groups impacted by CNH vary from study to study, but the majority of studies report an average age range from 50 to 80 years. Various treatment options have been described in the literature, including surgical techniques, laser therapy, curettage, topical and intralesional corticosteroids, and pressure relieving techniques. Read More
J Am Acad Dermatol 2016 Aug;75(2):e65-6
Dermatological Surgery and Laser Unit, St John's Institute of Dermatology, St Thomas' Hospital, London, United Kingdom.
Dermatol Surg 2016 Oct;42(10):1125-34
*Department of Dermatology, Hotel Dieu de France Hospital; †Saint Joseph University, Faculty of Medicine, and Departments of Plastic and Reconstructive Surgery, ‡Dermatology, and §Ophtalmology, Hotel Dieu de France Hospital, Achrafieh, Lebanon; ‖Saint Joseph University, Factulty of Medicine, and Hotel Dieu de France Hospital, Achrafieh, Lebanon.
Background: Chondrodermatitis nodularis helicis (CNH) is an idiopathic benign inflammatory painful condition of the ear. Still, to date, no study has yet evaluated nor compared treatments regarding their safety and efficacy.
Objective: The objective of this study is to review all available treatment modalities of CNH that were described in the literature, compare their efficacy and propose a treatment algorithm. Read More
Plast Surg Int 2016 27;2016:4340168. Epub 2016 Jan 27.
Department of Plastic Surgery and Breast Surgery, Roskilde Hospital, 4000 Roskilde, Denmark.
Chondrodermatitis Nodularis Helicis is a benign inflammatory process affecting the skin and cartilage of the ear. It typically presents as a painful nodule surrounded by an area of erythema and often prevents the patient from sleeping on the affected side. Many treatments have been described in the literature, but the condition is prone to recurrence. Read More
J Dtsch Dermatol Ges 2015 Oct;13(10):1049-52
Klinik für Dermatologie, Venerologie und Allergologie, St-Josef-Hospital, Ruhr-Universität Bochum.
J Dtsch Dermatol Ges 2015 Oct;13(10):1049-51
Department of Dermatology, -Venereology, and Allergology, St. Josef Hospital, Ruhr University Bochum, -Bochum, Germany.
Actas Dermosifiliogr 2015 Sep 20;106(7):555-61. Epub 2015 May 20.
Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, España.
Background And Objective: Chondrodermatitis nodularis helicis (CNH) is a painful idiopathic degenerative condition involving the skin and cartilage of the helix or antihelix of the ear. Topical nitroglycerin 2% is a relatively recent treatment option for CNH that has produced good results, although with adverse effects (17% of cases). The use of a lower concentration would probably achieve similar results with fewer adverse effects. Read More
Actas Dermosifiliogr 2015 Oct 11;106(8):675-6. Epub 2015 Apr 11.
Unidad de Gestión Clínica de Dermatología, Hospital Universitario Virgen del Rocío, Sevilla, España.
JAMA Otolaryngol Head Neck Surg 2015 May;141(5):481-2
Department of Dermatology, Government Medical College and Hospital, Chandigarh, India.
Eur J Rheumatol 2014 12 1;1(4):161-163. Epub 2014 Dec 1.
Department of Rheumatology, University Hospital Ramón y Cajal, Madrid, Spain.
Chondrodermatitis nodularis chronica helicis is a rare non-neoplastic inflammatory and degenerative process of the external ear, characterized by necrobiotic changes in the dermis that extend down to the perichondrium. This condition has been occasionally reported in patients with limited cutaneous systemic sclerosis but not in those with concomitant primary biliary cirrhosis; this association is known as Reynolds syndrome. We report a 70-year-old woman diagnosed with primary biliary cirrhosis at age 47 and with limited cutaneous systemic sclerosis at age 54 who developed a painful ulcerated nodule on the helical rim of the left ear shortly after the last diagnosis. Read More
Dermatol Ther 2014 Sep-Oct;27(5):278-80. Epub 2014 Jun 9.
Dermatology and Venereology Department, Virgen de Las Nieves Hospital, Granada, Spain.
Chondrodermatitis nodularis helicis (CNH) is an inflammatory process that affects the skin and cartilage of the ear. At present, there are many treatment options, although they are not always effective. Based on previous studies where nitroglycerin 2% gel was used, we propose the use of nitroglycerin patches. Read More
Ann Dermatol Venereol 2014 Apr 21;141(4):306-7. Epub 2014 Mar 21.
Service d'anatomie pathologie, centre hospitalier de Lyon Sud, pavillon 3D, 69495 Pierre-Bénite cedex, France; Service de dermatologie, centre hospitalier de Lyon Sud, pavillon médicale, 69495 Pierre-Bénite cedex, France.
Clin Otolaryngol 2014 Apr;39(2):121-6
Department of Ear, Nose and Throat, Warwick Hospital, Warwick, UK.
Otol Neurotol 2014 Apr;35(4):e157-8
*Organi di Senso Department, and †Pathology Department, University "la Sapienza", Rome; and ‡Department of Clinical Sciences, Polytechnic University of Marche, Ancona, Italy.
Ann Dermatol Venereol 2013 Nov 22;140(11):687-92. Epub 2013 Oct 22.
Clinique dermatologique de Strasbourg, hôpital civil de Strasbourg, 1, place de l'Hôpital, 97091 Strasbourg cedex, France. Electronic address:
Background: Painful nodule of the ear was described at the start of the 20th century as a form of chronic chondrodermatitis nodularis helicis (CNH). It comprises a painful erythematous papule or nodule appearing on the ear and adhering to cartilage, and which may or may not have a central scab. The aim of this study was to describe the clinical characteristics of CNH as well as the population currently affected by such lesions, and to identify predisposing factors. Read More
Cutis 2013 Oct;92(4):190-2
Midlands Clinic, 705 N Sioux Point Rd, Dakota Dunes, SD 57049, USA.
Although the classic location of gouty tophi is the great toe (podagra), gouty tophi of the ear also is common and is worth including in the differential diagnosis in patients presenting with ear lesions. Other entities presenting as papules or nodules on the ear include chondrodermatitis nodularis helicis (CNH), actinic keratosis, basal cell carcinoma, squamous cell carcinoma, verruca vulgaris, amyloids, rheumatoid nodules, and elastotic nodules. If tophaceous gout is suspected, alcohol fixation of the biopsy specimen is preferable, as it enables visualization of characteristic needle-shaped urate crystals. Read More
J Laryngol Otol 2013 Jan 7;127(1):63-4. Epub 2012 Dec 7.
Department of Otolaryngology, Head and Neck Surgery, Southern General Hospital, Glasgow, Scotland, UK.
Background: Chondrodermatitis nodularis chronica helicis is a common benign condition of the pinna. It presents as a painful, well demarcated nodule on the pinna that may be associated with surrounding erythema or an overlying crust.
Methods: This paper describes techniques for the excision of chondrodermatitis nodularis chronica helicis on both the helix and anti-helix, and reconstruction of the defect. Read More
Dermatol Surg 2013 Feb 3;39(2):317-9. Epub 2012 Dec 3.
Department of Dermatology, Milton S. Hershey Medical Center, Pennsylvania State University, Hershey, PA 17110, USA.
Actas Dermosifiliogr 2013 Jul-Aug;104(6):531-2. Epub 2012 Oct 23.
Dermatol Surg 2012 Nov 22;38(11):1859-62. Epub 2012 Aug 22.
Dermatology Associates of Tallahassee, 1707 Riggins Road,Tallahassee, FL 32308, USA.
Cutis 2011 Aug;88(2):62-4
New Jersey Medical School, 185 South Orange Ave, Newark, NJ 07103, USA.
The accessory tragus is a relatively common benign congenital anomaly. The tragus is a cartilaginous projection that normally occurs anterior to the external auditory meatus. Although aberrancy of the tragus may occur in isolation and is exclusively derived from the first branchial arch, it may occasionally signal a defect in the first or second branchial arches. Read More
J Am Acad Dermatol 2011 Sep 6;65(3):531-536. Epub 2011 May 6.
Division of Dermatology, Scott and White Memorial Hospital and Clinic and Texas A&M Health Science Center College of Medicine, Temple, Texas.
Background: Chondrodermatitis nodularis helicis (CNH) is a painful nodule that often interferes with sleep and occurs on the helix or antihelix of the ear in older patients. Although several case reports describe a variety of seemingly effective surgical and conservative treatment options, well-studied treatment modalities have varying efficacy rates and can often demonstrate disappointing results.
Objectives: The purpose of this study was to evaluate the efficacy of 2% topical nitroglycerin for the treatment of CNH. Read More
J Dtsch Dermatol Ges 2011 Apr 31;9(4):287-91. Epub 2011 Jan 31.
Department of Dermatology, Bremerhaven Reinkenheide Hospital, Bremerhaven, Germany.
The article on chondrodermatitis nodularis chronica helicis summarizes various clinical pictures and differential diagnoses of this entity. This lesion is usually characterized by a solid or cystic nodule but ulcerations or crusts may also occur. The most common differential diagnoses include benign or malignant tumours, which are often confused with chondrodermatitis nodularis chronica helicis. Read More
Dermatol Ther 2011 Jan-Feb;24(1):144-7
Department of Dermatology, University of Siena A.O.U.S., Siena, Italy.
Chondrodermatitis nodularis chronica helicis (CNCH) is a fairly frequent disorder of unknown etiology. Although the elective therapy is surgery, local application of topical steroids, antibiotic ointments, intralesional injection of collagen, cryotherapy, curettage followed by diathermy, and CO(2) laser treatment have also been proposed. The aim of the study was to test the utility of photodynamic therapy (PDT) for CNCH. Read More
J Dtsch Dermatol Ges 2011 Apr 23;9(4):292-6. Epub 2010 Nov 23.
Department of Dermatology and Venereology, Medical University of Innsbruck, Austria.
Background: Chondrodermatitis nodularis chronica helicis is a rather common condition which substantially affects quality of life causing pain and sleeping disturbances. Surgical treatment is connected with a tendency to recurrence. Mechanical pressure is probably the main etiological factor. Read More
Arch Dermatol 2010 Oct;146(10):1080-2
Service of Dermatology, Hospital San Jorge, Av Martínez de Velasco, 34, 22004 Huesca, Spain.
Eur J Dermatol 2010 Nov-Dec;20(6):813-4. Epub 2010 Oct 12.
Int J Dermatol 2010 Apr;49(4):472-4
Am J Otolaryngol 2009 Sep-Oct;30(5):331-6. Epub 2009 Jun 24.
Dermato-Venereology (Skin/VD centre), Sehgal Nursing Home, Delhi 110 033, India.
Chondrodermatitis nodularis is a common condition in clinical practice but rarely discussed or reported in the literature. It most often affects the helices and antihelices of the ear. It is either uni- or bilateral. Read More
Clin Otolaryngol 2009 Apr;34(2):147-50
Head and Neck Department, University College London Hospital, London, UK.
Objectives: Chondrodermatitis nodularis chronica helicis (CNCH) usually presents as a painful nodule affecting the pinna. The aetiology of the disease is unknown. Several theories have been suggested. Read More
Br J Oral Maxillofac Surg 2009 Jun 17;47(4):327-8. Epub 2009 Mar 17.
Oral and Maxillofacial Surgery, St. Richards Hospital, Chichester, United Kingdom.
Clin Exp Dermatol 2009 Apr 29;34(3):358-9. Epub 2008 Oct 29.
Department of Dermatology, University of California, San Francisco, CA 94143-0989, USA.
Chondrodermatitis nodularis chronica helicis (CNCH) is a benign inflammatory nodule of the helix. Patients report severe tenderness upon pressure. Commonly seen in middle-aged men, there are no reports of this disease in twins. Read More
J Am Acad Dermatol 2008 Nov;59(5):822-33
Department of Pathology and Laboratory Medicine, Weill Medical College of Cornell University, New York, New York 10065, USA.
Background: Direct immunofluorescent (DIF) testing defines an important diagnostic adjunct in the classification of various inflammatory skin conditions; it requires fresh tissue, a laboratory equipped to perform the procedure, and a pathologist skilled in its interpretation. Although advances have been made in the development of antibodies that can be applied to paraffin-embedded tissue, there has been no reported success on the application of paraffin tissue-based immunohistochemistry as a potential substitute for DIF testing on skin biopsy material.
Objective: We applied C3d and C4d immunohistochemistry on paraffin-embedded, formalin-fixed tissue to define a potential application of these two antibodies as a diagnostic adjunct in the evaluation of various inflammatory skin diseases. Read More
Plast Reconstr Surg 2009 Jan;123(1):25e-26e
Division of Plastic and Reconstructive Surgery, Holy Redeemer Hospital and Medical Center, Meadowbrook, PA, USA.
Br J Dermatol 2009 Jan 11;160(1):116-8. Epub 2008 Nov 11.
Dermatology Department, Royal Bolton Hospital, Bolton, Lancashire BL4 0JR, UK.
Background: Chondrodermatitis nodularis (CN) is a common painful ear condition, most commonly seen at the apex of the helix. Many different treatment methods for it have been advocated but excision of cartilage alone has been shown to be therapeutically and cosmetically effective.
Objectives: To describe and present our experience of a simplified and minimally invasive method of cartilage trimming for CN with sutureless skin closure. Read More
J Oral Maxillofac Surg 2008 Oct;66(10):2194
Ear Nose Throat J 2007 Dec;86(12):734-5
Department of Pathology, Woodland Hills Medical Center, Southern California Permanente Medical Group, Woodland Hills, Calif., USA.
Can Fam Physician 2007 May;53(5):821, 837
University of Alberta, Edmonton.
Br J Dermatol 2007 Oct 2;157(4):744-7. Epub 2007 Aug 2.
Department of Dermatology, Sunderland Royal Hospital, Sunderland, U.K.
Background: Chondrodermatitis nodularis helicis (CDNH) is a painful inflammatory condition affecting the helix of the ear. Several surgical treatments are described in the literature, with different cure rates and cosmetic outcomes.
Objectives: To determine the cure rate of a novel method of surgical treatment, the 'punch and graft' technique, for CDNH and to compare this with reported techniques. Read More
J Oral Maxillofac Surg 2007 Jul;65(7):1378-82
Oral & Facial Cosmetic Surgery Center, Marion, IN 46952, USA.